The ideal candidate for brow lift surgery is someone who is healthy, does not smoke has a positive outlook and has a realistic expectation fro what surgery can achieve. Most patients have some medical problems. The important thing is that your medical problems are managed appropriately to make the procedure as safe as possible.

Common reasons why patients seek consultation for a brow lift include:

• Sagging brows that are hooding the upper eyelids

• Wanting a youthful arch to the eyebrows and to have them in an alert and youthful position

• Reduces the wrinkles across the forehead and between the eyebrows

Before the consultation the patient should develop a clear idea of what changes they would like to make in their appearance. Having realistic expectations for what can be achieved with a brow lift is important. Dr. Derderian will address each of your goals in detail at your consultation and will develop a surgical plan tailored to you anatomy and goals.

Brow lifts can be performed in several different ways. The technique should be selected based upon your anatomy and the scope of the changes that will be made during the procedure. For most patients an endoscopic brow lift can be performed. Endoscopic brow lift uses a long thin camera camera and special instruments that are inserted through small incisions made in the hair-baring scalp. This approach allows elevation and shaping of the brow and correction of the source of visible furrows in the forehead.

There are several approaches to brow lift that use longer incisions. A coronal brow lift used and incision across the top of the head from ear to ear within the hair-bearing skin. This is less commonly performed because of frequent visibility of the scars.

Women with very high foreheads are not good candidates for coronal or endoscopic approaches because the forehead will be further elongated. For these patients an incision made at the anterior hairline may be recommended. This allows the brow to be lifted without altering the position of the hairline. The resulting scar, while somewhat more visible, can be hidden with bangs. The incisions are closed with dissolvable sutures and or surgical clips.

During the initial recovery period you will have a dressing on your head for 2-3 days. Minimal excursion is recommended for 2-3 weeks. Initial wound healing may take 10 to 14 days. Sutures or clips will be removed when it is appropriate. Patients are typically be ready to return to work and normal activity after 10-14 days.

You will look presentable to the public after 10-14 days, however the healing and resolution of swelling will continue for several weeks. It will take 6-12 months for your complete recovery.

Insurance does not commonly cover brow lift surgery or its complications. Cost may include:

• Anesthesia fees – cover the anesthesiologist, their staff and medications

• Hospital or surgical facility costs – covers the operating room, staff and equipment

• Surgeon’s fee

Dr. Derderian had extensive training in cosmetic surgery at New York University and the Manhattan Eye, Ear and Throat Hospital (MEETH). After completing his residency Dr. Derderian did a fellowship in craniofacial surgery at the University of Pennsylvania. He joined the faculty at UT Southwestern in Dallas in 2011. Dr. Derderian is board certified by the American Board of Plastic Surgery. Dr. Derderian frequently performs brow lift procedures at his Dallas practice.